| Lynh Thy Pham D D S Pa | |
|
324 Medallion Center Dallas TX 75214-1580 | |
| (214) 368-4331 | |
| (214) 368-4661 |
| Full Name | Lynh Thy Pham D D S Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 324 Medallion Center, Dallas, Texas |
| Authorized Official Name and Position | Lynh Thy Pham (PRESIDENT) |
| Authorized Official Contact | 2143684331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lynh Thy Pham D D S Pa 324 Medallion Center Dallas TX 75214-1580 Ph: (214) 368-4331 | Lynh Thy Pham D D S Pa 324 Medallion Center Dallas TX 75214-1580 Ph: (214) 368-4331 |
| NPI Number | 1003937814 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 07/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003937814 | NPI | - | NPPES |
| 159880701 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19887 (Texas) | Primary |
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